Individual provider · Type 1 NPI

Roger P. Smith

Addiction (Substance Use Disorder) Counselor · Green Bay, WI

NPI number 1114779451 Active

Practice location

2357 W Mason St
Green Bay, WI 54303-4708

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20519 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114779451

Roger P. Smith's National Provider Identifier is 1114779451, issued on Apr 2, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Green Bay, WI. The record was last updated on Apr 2, 2024.